EP1235523B1 - Plaque vissee resorbable - Google Patents
Plaque vissee resorbable Download PDFInfo
- Publication number
- EP1235523B1 EP1235523B1 EP99974247A EP99974247A EP1235523B1 EP 1235523 B1 EP1235523 B1 EP 1235523B1 EP 99974247 A EP99974247 A EP 99974247A EP 99974247 A EP99974247 A EP 99974247A EP 1235523 B1 EP1235523 B1 EP 1235523B1
- Authority
- EP
- European Patent Office
- Prior art keywords
- holes
- bone plate
- bone
- plate according
- plate
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
Links
- 210000000988 bone and bone Anatomy 0.000 title claims abstract description 36
- 239000000463 material Substances 0.000 claims abstract description 7
- 210000004872 soft tissue Anatomy 0.000 abstract description 5
- -1 polyamidoesters Polymers 0.000 description 4
- 229920001273 Polyhydroxy acid Polymers 0.000 description 2
- 229920000747 poly(lactic acid) Polymers 0.000 description 2
- AEMRFAOFKBGASW-UHFFFAOYSA-N Glycolic acid Polymers OCC(O)=O AEMRFAOFKBGASW-UHFFFAOYSA-N 0.000 description 1
- 229920002732 Polyanhydride Polymers 0.000 description 1
- 229920000954 Polyglycolide Polymers 0.000 description 1
- 229920000331 Polyhydroxybutyrate Polymers 0.000 description 1
- 229920001710 Polyorthoester Polymers 0.000 description 1
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- 230000015556 catabolic process Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000006731 degradation reaction Methods 0.000 description 1
- 239000011521 glass Substances 0.000 description 1
- 150000004676 glycans Chemical class 0.000 description 1
- 210000002411 hand bone Anatomy 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 210000000236 metacarpal bone Anatomy 0.000 description 1
- 229920001432 poly(L-lactide) Polymers 0.000 description 1
- 229920001308 poly(aminoacid) Polymers 0.000 description 1
- 239000005015 poly(hydroxybutyrate) Substances 0.000 description 1
- 229920000218 poly(hydroxyvalerate) Polymers 0.000 description 1
- 229920002463 poly(p-dioxanone) polymer Polymers 0.000 description 1
- 229920000768 polyamine Polymers 0.000 description 1
- 229920001610 polycaprolactone Polymers 0.000 description 1
- 239000004632 polycaprolactone Substances 0.000 description 1
- 229920000515 polycarbonate Polymers 0.000 description 1
- 239000004417 polycarbonate Substances 0.000 description 1
- 239000000622 polydioxanone Substances 0.000 description 1
- 229920006149 polyester-amide block copolymer Polymers 0.000 description 1
- 229920000642 polymer Polymers 0.000 description 1
- 229920001282 polysaccharide Polymers 0.000 description 1
- 239000005017 polysaccharide Substances 0.000 description 1
- 229910052719 titanium Inorganic materials 0.000 description 1
- 239000010936 titanium Substances 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8052—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded
- A61B17/8057—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded the interlocking form comprising a thread
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00004—(bio)absorbable, (bio)resorbable or resorptive
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00831—Material properties
- A61B2017/0084—Material properties low friction
Definitions
- This invention concerns a bone plate in accordance with the pre-characterising portion of Claim 1.
- a bone plate is disclosed in EP-A- 0530585, which defines the preamble of claim 1.
- Bone plates made of titanium have shown that this material has such a bio-compatibility that soft-tissue is adhering thereto which can be in certain situations an undesirable property for bone plates.
- bone plates made of bioresorbable materials usually have insufficient mechanical properties (e.g. stiffness).
- the invention as claimed aims at overcoming the problems of adherence of soft-tissue and to optimize shape and function of an resorbable plate given the limitations of the properties of these materials.
- the present invention provides a bone plate as defined in Claim 1.
- Resorbable materials to be used for the device according to the invention can be resorbable polymers like highly purified polyhydroxyacids, polysaccharides, polyamines, polyaminoacids, polyorthoesters, polyanhydrides, polyamidoesters, polydioxanone, polyesteramides, copolyoxalates, polycarbonates or poly-(glutamic-co-leucine).
- polylactides are used or their combinations with polyhydroxybutyrates or polyhydroxyvalerates and/or resorbable glasses.
- polyhydroxyacids comprise polycaprolactone, poly(L-lactide), poly(DL-lactide), polyglycolide, poly-(DL-lactide-co-glycolide), poly(DL-lactide-co-caprolactone).
- the lower surface of the bone plate has a radius of curvature R which is smaller than 9 mm.
- the axis of the hollow cylinder corresponding to the curved plate is running parallel to the central longitudinal axis of the plate.
- the ratio F/d of the total area F of the upper surface (including the surface area of the through holes) to the thickness d of the plate is in the range of 210 to 240 mm.
- the ratio F/f of the total area F of the upper surface (including the surface area of the through holes) to the true surface f of the upper surface (excluding the surface area of the through holes) is in the range of 1,10 - 1,25.
- the width of the free ends of the longitudinal plate is narrowing to value b being preferably smaller than 0,15 B.
- the upper surface of the bone plate has preferably a roughness of 0,5 ⁇ m to 5,0 ⁇ m, typically of 0,6 ⁇ m to 2,5 ⁇ m. in order to avoid the adherence of soft tissue after implantation. In any case it is preferred that the upper surface is smoother than the lower surface.
- the bone plate is provided with a torsion around its central longitudinal axis which allows application to the required bone profile.
- the degree of torsion of the bone plate is preferably between ⁇ 1° to ⁇ 20° over the total length.
- the length 1 of the central part of the longitudinal plate corresponds preferably to 73 - 82 % of the total length L of the plate.
- conical through holes may be provided with a thread.
- through holes it is also possible to use through holes with a smooth inner surface.
- the through holes have preferably a cone angle of 15° to 25°, typically of 18° to 22°.
- the bone plate is provided preferably with n ⁇ 4 holes (more preferably with n ⁇ 6 holes), whereby the two most centrally located holes have preferably a distance which is at least 150 %, preferably 180 % of the distance x between the other through holes.
- Figure 1 shows a bone plate of longitudinal shape having an upper curved surface 1, a curved lower surface 2 for contacting a long bone, e.g. a metacarpal bone, six conical through holes 3 connecting the upper surface 1 with the lower surface 2 for receiving bone screws and a central longitudinal axis 4.
- a long bone e.g. a metacarpal bone
- six conical through holes 3 connecting the upper surface 1 with the lower surface 2 for receiving bone screws and a central longitudinal axis 4.
- the through holes 3 have a cone angle of 20° and a minimum diameter D of 2,8 mm located at the lower side 2.
- the lower surface 2 has a radius of curvature R of 7 mm.
- the plate consists of polylactide copolymer with an enhanced degradation rate.
- the ratio F/d of the total area F of the upper surface 1 (including the surface area of the through holes 3) to the thickness d of the plate has the value of 223 mm.
- the ratio F/f of the total area F of the upper surface 1 including the surface area of the through holes 3 to the true surface f of the upper surface 1 excluding the surface area of the through holes 3 has the value of 1,17.
- the central part of the longitudinal plate (over the length 1 in Fig. 1) has a constant width B whereas the width of the free ends of the longitudinal plate is narrowing gradually to value O in the form of a hemi-circle.
- the length 1 of the central part of the longitudinal plate corresponds to 77 % of the total length L of the plate.
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Neurology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
- Materials For Medical Uses (AREA)
- Professional, Industrial, Or Sporting Protective Garments (AREA)
Claims (13)
- Plaquette pour les os de forme longitudinale comportant une face supérieure (1), une face inférieure courbée (2) destinée à entrer en contact avec l'os, une pluralité de perçages traversants coniques (3) reliant la face supérieure (1) à la face inférieure (2) pour recevoir des vis pour les os, un axe central longitudinal (4) et constitué d'un matériau résorbable,
caractérisée en ce queA) la face inférieure courbée (2) a un rayon de courbure R inférieur à 10 mm,B) le ratio F/d de la surface totale F de la face supérieure (1) comprenant la surfaces des perçages traversants (3) à l'épaisseur d de la plaquette est compris entre 190 et 270 mm, etC) la partie centrale de la plaquette longitudinale a une largeur B généralement constante, la largeur des extrémités dégagées de cette plaquette longitudinale se rétrécissant pour atteindre une valeur b jusqu'à 0,3 B. - Plaquette pour les os selon la revendication 1, caractérisée en ce que le rayon de la courbure R est inférieur à 9 mm.
- Plaquette pour les os selon la revendication 1 ou 2, caractérisée en ce que le ratio F/d est compris entre 210 et 240 mm.
- Plaquette pour les os selon une des revendications 1 à 3, caractérisée en ce que le ratio F/f de la surface totale F de la face supérieure (1) comprenant la surface des perçages traversants (3) à la surface exacte f de la face supérieure (1), qui ne comprend pas la surface des trous traversants (3), est compris entre 1,10 à 1,25.
- Plaquette pour les os selon une des revendications 1 à 4, caractérisée en ce que la largeur des extrémités dégagées de la plaquette longitudinale se rétrécit pour atteindre une valeur b jusqu'à 0,15 B.
- Plaquette pour les os selon une des revendications 1 à 5, caractérisée en ce que la face supérieure (1) a une rugosité de 0,5 à 5,0 µm, de préférence de 0,5 à 2,5 µm.
- Plaquette pour les os selon une des revendications 1 à 6, caractérisée en ce que la face supérieure (1) est plus lisse que la face inférieure (2).
- Plaquette pour les os selon une des revendications 1 à 6, caractérisée en ce que la plaquette est pourvue d'une torsion autour de son axe central longitudinal (4).
- Plaquette pour les os selon une des revendications 1 à 8, caractérisée en ce que la longueur I de la partie centrale de la plaquette longitudinale est égale à 73-82 % de la longueur totale L de la plaquette.
- Plaquette pour les os selon une des revendications 1 à 9, caractérisée en ce que les perçages coniques traversants (3) sont pourvus d'un filetage.
- Plaquette pour les os selon une des revendications 1 à 10, caractérisée en ce que les perçages coniques traversants (3) ont une surface intérieure lisse.
- Plaquette pour les os selon une des revendications 1 à 11, caractérisée en ce qu'elle est pourvue d'un nombre n = 4 perçages (3), de préférence de n = 6 perçages (3) et que les deux perçages (3) situés le plus au centre ont une distance qui est au moins égale à 102 %, de préférence 150 à 180 % de la distance x entre les autres trous (3).
- Plaquette pour les os selon une des revendications 1 à 12, caractérisée en ce que les trous traversants (3) ont un angle de cône de 15° à 25°, de préférence de 18° à 22°.
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| PCT/CH1999/000582 WO2001041663A1 (fr) | 1999-12-06 | 1999-12-06 | Plaque vissee resorbable |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| EP1235523A1 EP1235523A1 (fr) | 2002-09-04 |
| EP1235523B1 true EP1235523B1 (fr) | 2004-09-01 |
Family
ID=4551743
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| EP99974247A Expired - Lifetime EP1235523B1 (fr) | 1999-12-06 | 1999-12-06 | Plaque vissee resorbable |
Country Status (10)
| Country | Link |
|---|---|
| US (1) | US20030004515A1 (fr) |
| EP (1) | EP1235523B1 (fr) |
| JP (1) | JP2003515426A (fr) |
| AT (1) | ATE274857T1 (fr) |
| AU (1) | AU770059B2 (fr) |
| CA (1) | CA2393206A1 (fr) |
| DE (1) | DE69919911T2 (fr) |
| ES (1) | ES2229826T3 (fr) |
| HK (1) | HK1048748B (fr) |
| WO (1) | WO2001041663A1 (fr) |
Families Citing this family (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| ES2187195T3 (es) * | 1998-09-11 | 2003-05-16 | Gerhard Dr Schmidmaier | Implantes biologicamente activos. |
| US20050038435A1 (en) | 2000-08-22 | 2005-02-17 | J. Dean Cole | Intramerdullary canal diameter reducer background of the invention |
| US7811312B2 (en) * | 2002-12-04 | 2010-10-12 | Morphographics, Lc | Bone alignment implant and method of use |
| US8551145B2 (en) | 2005-12-19 | 2013-10-08 | Mayo Foundation For Medical Education And Research | Anterior adherent thoracolumbar spine plate |
| US8057520B2 (en) * | 2006-07-18 | 2011-11-15 | Orthohelix Surgical Designs, Inc. | Calcaneal plate |
| US20080312698A1 (en) * | 2007-06-14 | 2008-12-18 | Bergeron Brian J | Device and system for stabilizing movement between bony tissue and method for implanting |
| US20090082816A1 (en) * | 2007-09-20 | 2009-03-26 | Graham Matthew R | Remodelable orthopaedic spacer and method of using the same |
| US20100094352A1 (en) * | 2008-10-10 | 2010-04-15 | Andrew Iott | Bone screw |
| JP6096190B2 (ja) | 2011-08-16 | 2017-03-15 | シンセス・ゲーエムベーハーSynthes GmbH | 熱可塑性多層物品 |
| CA2854667C (fr) | 2011-11-07 | 2021-03-30 | Thomas Imwinkelried | Electrolyte faible pour revetements plasmaelectrolytiques biocompatibles sur implant en magnesium |
| EP3308736B1 (fr) * | 2015-06-09 | 2022-04-06 | She, Chengxin | Plaque osseuse de fixation |
Family Cites Families (17)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3695259A (en) * | 1970-11-10 | 1972-10-03 | Clyde E Yost | Bone plate |
| US4776330A (en) * | 1986-06-23 | 1988-10-11 | Pfizer Hospital Products Group, Inc. | Modular femoral fixation system |
| US4905680A (en) * | 1986-10-27 | 1990-03-06 | Johnson & Johnson Orthopaedics, Inc. | Absorbable bone plate |
| US4966599A (en) * | 1987-04-07 | 1990-10-30 | Pollock Richard A | Anatomical precontoured plating, instruments and methods |
| US5151103A (en) * | 1987-11-03 | 1992-09-29 | Synthes (U.S.A.) | Point contact bone compression plate |
| JP3148932B2 (ja) * | 1991-06-28 | 2001-03-26 | タキロン株式会社 | 骨折部の内固定材用生体内分解吸収性プレート |
| US5275601A (en) * | 1991-09-03 | 1994-01-04 | Synthes (U.S.A) | Self-locking resorbable screws and plates for internal fixation of bone fractures and tendon-to-bone attachment |
| FR2693899B1 (fr) * | 1992-07-24 | 1994-09-23 | Laboureau Jacques | Agrafe-plaque d'ostéosynthèse. |
| US6491723B1 (en) * | 1996-02-27 | 2002-12-10 | Implant Innovations, Inc. | Implant surface preparation method |
| ES2158127T3 (es) * | 1995-09-06 | 2001-09-01 | Synthes Ag | Lamina osea. |
| US6033582A (en) * | 1996-01-22 | 2000-03-07 | Etex Corporation | Surface modification of medical implants |
| GB9801987D0 (en) * | 1998-01-31 | 1998-03-25 | Depuy Int Ltd | A fixation device for a bone fracture |
| US7052499B2 (en) * | 1998-02-18 | 2006-05-30 | Walter Lorenz Surgical, Inc. | Method and apparatus for bone fracture fixation |
| ES1039613Y (es) * | 1998-02-24 | 1999-06-01 | Mecanismos Aux Ind | Portamodulos de dos modulos perfeccionado. |
| US6221075B1 (en) * | 1998-03-06 | 2001-04-24 | Bionx Implants Oy | Bioabsorbable, deformable fixation plate |
| US5861452A (en) * | 1998-03-20 | 1999-01-19 | E. I. Du Pont De Nemours And Company | Scratch and scuff resistant polymer |
| DE19951760B4 (de) * | 1999-10-27 | 2005-06-09 | Sepitec Foundation | Implantat für Osteosynthesen |
-
1999
- 1999-12-06 EP EP99974247A patent/EP1235523B1/fr not_active Expired - Lifetime
- 1999-12-06 CA CA002393206A patent/CA2393206A1/fr not_active Abandoned
- 1999-12-06 ES ES99974247T patent/ES2229826T3/es not_active Expired - Lifetime
- 1999-12-06 AU AU13710/00A patent/AU770059B2/en not_active Ceased
- 1999-12-06 AT AT99974247T patent/ATE274857T1/de not_active IP Right Cessation
- 1999-12-06 JP JP2001542837A patent/JP2003515426A/ja active Pending
- 1999-12-06 DE DE69919911T patent/DE69919911T2/de not_active Expired - Fee Related
- 1999-12-06 WO PCT/CH1999/000582 patent/WO2001041663A1/fr not_active Ceased
- 1999-12-06 HK HK03100679.5A patent/HK1048748B/en not_active IP Right Cessation
-
2002
- 2002-06-06 US US10/162,658 patent/US20030004515A1/en not_active Abandoned
Also Published As
| Publication number | Publication date |
|---|---|
| DE69919911D1 (de) | 2004-10-07 |
| JP2003515426A (ja) | 2003-05-07 |
| HK1048748A1 (en) | 2003-04-17 |
| AU770059B2 (en) | 2004-02-12 |
| ES2229826T3 (es) | 2005-04-16 |
| AU1371000A (en) | 2001-06-18 |
| ATE274857T1 (de) | 2004-09-15 |
| US20030004515A1 (en) | 2003-01-02 |
| DE69919911T2 (de) | 2005-09-15 |
| CA2393206A1 (fr) | 2001-06-14 |
| EP1235523A1 (fr) | 2002-09-04 |
| HK1048748B (en) | 2004-12-31 |
| WO2001041663A1 (fr) | 2001-06-14 |
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